NPI 1730335423

Southwest Wyoming Ent INC

Organisation Otolaryngology Physician Evanston, WY

Practice location

Address: 191 Overthrust Rd, Evanston, WY 82930-9261
Phone: (307) 789-8721
Fax: (307) 789-8664

Authorised official

Name: Jason P Haack
Title: Owner
Phone: (307) 789-8721

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Wyoming →

Facial Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X

Registry record

NPI: 1730335423
Entity type: Organization
NPI issued: 13 Aug 2008
Record last updated: 24 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.